A nurse is reviewing a new prescription for alendronate 70 mg PO once per week upon waking to be taken 30 min before food, fluids, or medication with a client who has osteoporosis. The client is to remain upright for 30 min after administration. How should the nurse interpret this prescription for the client?
Take the medication at 1800, 30 min after the evening meal.
Over-the-counter oral preparations can be taken with this medication.
Choose the same day of each week to take this medication.
The client can return to bed after taking the medication, but before eating.
The Correct Answer is C
c) Choose the same day of each week to take this medication.
The nurse should interpret the prescription for alendronate 70 mg PO once per week upon waking to be taken 30 min before food, fluids, or medication with a client who has osteoporosis as instructing the client to choose the same day of each week to take the medication. This will help to ensure that the medication is taken consistently and at the appropriate time.
Taking the medication at 1800, 30 min after the evening meal (option A) is not consistent with the prescription, which specifies that the medication should be taken upon waking and before food, fluids, or other medications. Over-the-counter oral preparations can be taken with this medication (option B) is not accurate; the prescription specifies that alendronate should be taken 30 min before other medications. The client can return to bed after taking the medication, but before eating (option D) is not consistent with the prescription, which specifies that the client should remain upright for 30 min after administration.
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The correct answer is c. Choose the same day of each week to take this medication. Rationale for each choice: Choice a. Take the medication at 1800, 30 min after the evening meal. is incorrect.
Choice b. Over-the-counter oral preparations can be taken with this medication. is incorrect.
Choice d. The client can return to bed after taking the medication, but before eating. is incorrect.
Choice c. Choose the same day of each week to take this medication. is the correct interpretation of the prescription.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The prescription for albuterol inhalation aerosol 8.5 g, inhale 1 to 2 puffs orally every 4 to 6 hr as needed for asthma is a PRN prescription. PRN stands for "pro re nata," which means "as needed" in Latin. This type of prescription allows the patient to take the medication as needed for a specific condition or symptom, rather than on a regular schedule.
Correct Answer is ["0.9"]
Explanation
First, you need to convert the client's weight from pounds to kilograms. There are approximately 2.2 pounds in 1 kilogram, so 99 lb / 2.2 = 45 kg. The dose of morphine is 0.2 mg/kg, so for a client who weighs 45 kg, the dose would be 0.2 mg/kg * 45 kg = 9 mg. To calculate the number of mL the nurse should administer, you need to divide the dose of morphine (9 mg) by the concentration of the morphine injection (10 mg/mL). This gives you 9 mg / (10 mg/mL) = 0.9 mL. When rounded to the nearest tenth, this remains
0.9 mL. So, the nurse should administer 0.9 mL of morphine injection.
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